Original ArticlesIdentifying Adaptive and Maladaptive Behaviors Following a Diagnosis of Mild Cognitive ImpairmentGibson, Allison PhD, MSW*,†; Bardach, Shoshana H. PhD†,‡; Jicha, Gregory A. PhD, MD†,§Author Information *College of Social Work ‡College of Public Health, Graduate Center for Gerontology §Department of Neurology, College of Medicine, University of Kentucky †Alzheimer’s Disease Center, Sanders-Brown Center on Aging, Lexington, KY Supported by the National Institute of Health/National Institute on Aging (1 P30 AG028383). The authors declare no conflicts of interest. Reprints: Allison Gibson, PhD, MSW, College of Social Work, University of Kentucky, 619 Patterson Office Tower, Lexington, KY 40506 (e-mail: email@example.com). Alzheimer Disease & Associated Disorders: July-September 2020 - Volume 34 - Issue 3 - p 262-266 doi: 10.1097/WAD.0000000000000379 Buy Metrics Abstract Introduction: Individual reactions to a diagnosis of mild cognitive impairment (MCI) can vary in a wide range of both adaptive and maladaptive responses. Understanding such reactions to diagnosis is important to maximize adaptive responses that can promote continued independence. Methods: In this pilot study, the Aging and Memory Quality of Life survey was developed to facilitate an understanding of adaptive and maladaptive behaviors results from a diagnosis of MCI. The Aging and Memory Quality of Life was administered to 45 individuals diagnosed with MCI and 45 cognitively normal participants serving as control subjects matched for age, sex, and education. Study partners were surveyed to collect corroborating and or discrepant observer responses. Results: Inconsistent with study partners’ reporting, MCI subjects may be underreporting physical limitations, and overreporting medication compliance. MCI subjects identified challenges to managing financial affairs. Discussion: Developing strategies to circumvent the development of maladaptive behaviors could significantly reduce morbidity and mortality in MCI patients. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.